| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.18 | $162.18 | $213.80 | |
BCBS
| Facility | $151.36 | $177.83 | $239.88 | |
BCBS
| Professional | $144.54 | $144.54 | $144.54 | |
Cigna
| Facility | $162.18 | $162.18 | $162.18 | |
Cigna
| Professional | $162.18 | $162.18 | $245.47 | |
United
| Facility | $102.33 | $141.25 | $147.91 | |
United
| Professional | $144.54 | $162.18 | $173.78 |